Lotus Psychotherapy & Consultation Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LOTUS PSYCHOTHERAPY & CONSULTATION SERVICES LLC

Practice address

3307 W 96TH St
Indianapolis, IN 46268-1106

Phone

(317) 500-3643

NPI assigned

Oct 28, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Neva E Hagedorn, LCSWNPI 1013226729

Title

Owner

Phone

(317) 500-3643

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neva E Hagedorn, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1013226729
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1831799014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19105",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462190105",
            "telephone_number": "317-500-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 W 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681106",
            "telephone_number": "317-500-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS PSYCHOTHERAPY & CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "HAGEDORN",
        "authorized_official_first_name": "NEVA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-500-3643",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kristine Lotter, P.T.
• Susan Chace Lottich, M.D.
• Lotus Counseling and Family Services, LLC
• Lotus Family Services, LLC
• Lotus of Life Counseling, LLC
• Lotus Recovery Center LLC
• Mary Frances Lotz, PA-C
• Michael Lotz, PHD, HSPP
• Victoria Lotzow
• Julia D Loubeau, NP

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.